ICICI Lombard Complete Health Insurance- iHealth Plan
Objective
An online health insurance policy that endows its policyholders with a customized protection by making available different add-ons that can be attached to the plan as per their own desire.
Suited for
This policy can be taken on an individual or family floater basis including spouse and children under a single policy.
What does it do?
It provides for inpatient hospitalisation, pre and post hospitalisation, day care procedures that do not require an overnight stay in hospital, regular free health check-up and emergency ambulance. This plan can be extended to include any one or both the add-ons by paying extra premium. First add-on allows hospital daily cash to meet subsequent expenses and convalescence benefit for recovery. Second add-on can cover critical illness and donor expenses.
A policyholder can select any one or both of these options to modify the policy to suit their needs. Certain complementary services such as free health check-up, e-consultations with specialists and free coupons for purchase from certain outlets are also provided.
Policyholder can also opt for sub-limits or/ and voluntary deductible where the agreed initial portion of expenses have to be borne by policyholder before the insurer pays for the bills. This will reduce the premium payable as insurers offer discount on opting for these benefits.
Pros
This policy allows a lifetime renewability.
There is no sub-limit.
This policy can be bought online.
Premium paid under this policy qualifies for deduction under section 80D of Income Tax Act.
Cons
Option II covering critical illness and organ donor expenses is over priced.
Our View
A policy that provides a wide coverage for hospitalisation expenses. It is a good policy but not a complete health solution, as its name suggests because it misses out Out patient treatment and maternity expenses. Above all, the Critical Illness benefit is a bit expensive as compared to standalone policies. It is recommended for those who are familiar with insurance concepts and are wise enough to customize the policy to suit their requirements after understanding the benefit of each add-on. Others who have reliable advisors to explain consequences of each customization may also consider it.
Eligibility
Entry Age (years) | |
Minimum | 18; 6 in case of individual policy and 3 months in case of floater plan |
Maximum | No limit |
Maximum Policy Renewal Age (years) | No Limit |
Coverage Type | Individual/ family floater |
Sum Insured (Rs) | |
Maximum | 10 lakh |
Minimum | 3 lakh for individual; 2 lakh for family floater |
Policy Term (years) | 1 or 2 |
Tax Benefit | Premium paid is eligible for tax benefit under section 80D of the Income Tax Act |
Discount | Available if opted for Voluntary Deductible Discount on premium if opted for sub-limits |
No Claim Bonus | 10% of sum insured for each claim free year, upto maximum of 50%. In case of claim, the sum would be reduced by 20% on next renewal |
Pre Policy Medical Check Up | Not required below 46 years of age |
Free look Period | 15 days |
Grace Period for Policy Renewal | 15 days |
Policy Termination | Either of the insurer or policyholder are allowed to terminate by giving a 15 days notice period. Insurance company shall refund a pre fixed percentage of premium. |
Customer Service | |
Address | ICICI Lombard General Insurance Company Limited ICICI Bank Towers Bandra Kurla Complex Mumbai 400 051 or ICICI Lombard General Insurance Company Limited ICICI Lombard House 414, Veer Savarkar Marg, Near Siddhi Vinayak Temple, Prabhadevi, Mumbai 400025 |
Mail to | [email protected] |
Call to | 1800-2666 |
Network Hospitals | Https://www.icicilombard.com/Content/ilom-en/Hospital_list/search.asp |
Additions to the Plan
Scope Of Cover | |
Cashless facility | Available at empanelled hospitals in India |
Re-imbursement facility | available if treatment taken in non-empanelled hospital |
Pre-post hospitalisation | Relevant medical expenses covered from 30 days prior and 60 days post hospitalisation |
In-patient Treatment | Covered |
Day-Care Procedures | covered |
Emergency Ambulance | reimbursement of expense upto Rs 1500 per hospitalisation |
Value Added Services | |
Health Check-up | available free of cost at every policy year subject to maximum 2 coupons per year for floater policies |
Online chat with doctors | available |
Discount on wellness services | discount vouchers on certain services from specific outlets |
Optional Add-Ons (require payment of extra premium) | |
Option I | |
Hospital Daily Cash | paid once during the policy period for each completed day of hospitalisation subject to maximum of 10 consecutive days with 3 days deductible. It pays Rs 500 per day for sum insured of Rs 1 lakh/ 2 lakh; Rs 1000 per day for sum assured of Rs 3/4/5 lakh; Rs 2000 per day for sum assured of Rs 7/10 lakh |
Convalescence Benefit | Rs 10000 payable once during policy period in case of hospitalisation for a period of 10 or more consecutive days |
Option II | |
Critical Illness(for sum insured Rs 3/4/5 lakh) | It will cover illnesses like Cancer, Coronary Artery By-pass Graft Surgery, Myocardial Infarction (Heart Attack), End Stage Renal Failure (Kidney Failure), Major Organ Transplant, Stroke, Paralysis, Heart Valve Replacement Surgery and End Stage Liver Failure |
Donor expenses | reimbursement of upto Rs 50000 |
Exclusions and Waiting Period | |
Pre-existing disease | covered after 2 years or 4 years(forRs 1 / 2 lakh sum insured) of continuous coverage |
No claim period | Any disease contracted during the first 30 days of commencement of the policy |
Waiting Period | 24 months for treatment of specific illnesses like Cataract, hernia, arthritis, sinusitos etc. |
General Exclusions | Non-allopathic treatmenttreatment of AIDS or related condition |
Annual Premium | |||||||
Age(years) | Sum Insured (in Rs) | ||||||
2 lakh | 3 lakh | 4 lakh | 5 lakh | 7 lakh | 10 lakh | ||
Individual | |||||||
21-25 | NA | 2624 | 3383 | 3595 | 2624 | 4298 | |
26-35 | NA | 3782 | 5261 | 5514 | 5894 | 6299 | |
36-45 | NA | 4939 | 6692 | 7033 | 7546 | 8090 | |
46-50 | NA | 8281 | 9996 | 10532 | 11341 | 12199 | |
51-55 | NA | 11471 | 13914 | 14710 | 15909 | 17180 | |
56-60 | NA | 15866 | 19263 | 20377 | 22058 | 23839 | |
61-65 | NA | 21077 | 25495 | 26901 | 29021 | 31268 | |
66-70 | NA | 26311 | 31808 | 33549 | 36175 | 38958 | |
71-75 | NA | 29299 | 35439 | 37392 | 40338 | 43460 | |
76-80 | NA | 33689 | 40759 | 43013 | 46412 | 50014 | |
81-125 | NA | 52258 | 63491 | 67194 | 72777 | 78695 | |
Hospital Daily Cash+Convalescence Benefit | |||||||
21-125 | NA | 758 | 758 | 758 | 1367 | 1367 | |
Donor Expense +Critical Illness | |||||||
21-25 | NA | 651 | 800 | 951 | 1250 | 1701 | |
26-35 | NA | 942 | 1201 | 1451 | 1950 | 2700 | |
36-45 | NA | 2270 | 2960 | 3651 | 5030 | 7100 | |
46-50 | NA | 4520 | 5960 | 7400 | 10280 | 14600 | |
51-55 | NA | 8720 | 11560 | 14400 | 20080 | 28600 | |
56-60 | NA | 10340 | 13720 | 17100 | 23861 | 34001 | |
61-125 | NA | NA | NA | NA | NA | NA | |
1Adult+1Child | |||||||
21-25 | 3858 | 4447 | 5099 | 5417 | 6152 | 6471 | |
26-35 | 4816 | 5424 | 6508 | 6856 | 7509 | 7972 | |
36-45 | 5722 | 6398 | 7581 | 7996 | 8748 | 9316 | |
46-50 | 8394 | 9821 | 10723 | 11322 | 12360 | 13217 | |
51-55 | 10760 | 12690 | 13857 | 14664 | 16015 | 17202 | |
56-60 | 14073 | 16640 | 18137 | 19198 | 20934 | 22528 | |
61-65 | 18118 | 21324 | 23122 | 24416 | 26504 | 28473 | |
66-70 | 25563 | 30080 | 32559 | 34365 | 37247 | 40019 | |
71-75 | 28174 | 33186 | 35918 | 37920 | 41097 | 44184 | |
76-80 | 32028 | 37748 | 40838 | 43119 | 46716 | 50246 | |
81-125 | 48044 | 57049 | 61866 | 65487 | 71104 | 76776 | |
Hospital Daily Cash+Convalescence Benefit | |||||||
21-125 | 808 | 1350 | 1350 | 1350 | 2433 | 2433 | |
Donor Expense +Critical Illness | |||||||
21-25 | NA | 651 | 800 | 951 | 1250 | 1701 | |
26-35 | NA | 951 | 1201 | 1451 | 1950 | 2700 | |
36-45 | NA | 2270 | 2960 | 3651 | 5030 | 7100 | |
46-50 | NA | 4520 | 5960 | 7400 | 10280 | 14600 | |
51-55 | NA | 8720 | 11560 | 14400 | 20080 | 28600 | |
56-60 | NA | 10340 | 13720 | 17100 | 23861 | 34001 | |
61-125 | NA | NA | NA | NA | NA | NA | |
1Adult+2Children | |||||||
21-25 | 5411 | 6236 | 7148 | 7594 | 8622 | 9070 | |
26-35 | 6306 | 7148 | 8463 | 8937 | 9889 | 10470 | |
36-45 | 7151 | 8057 | 9465 | 10000 | 11045 | 11725 | |
46-50 | 9804 | 11437 | 12609 | 13329 | 14670 | 15634 | |
51-55 | 12023 | 14126 | 15547 | 16461 | 18095 | 19369 | |
56-60 | 15128 | 17830 | 19559 | 20713 | 22706 | 24363 | |
61-65 | 18920 | 22221 | 24233 | 25605 | 27930 | 29935 | |
66-70 | 27932 | 32811 | 35692 | 37694 | 41029 | 43998 | |
71-75 | 30542 | 35917 | 39050 | 41250 | 44880 | 48162 | |
76-80 | 34396 | 40480 | 43971 | 46448 | 50498 | 54225 | |
81-125 | 50411 | 59779 | 64999 | 68816 | 74886 | 80755 | |
Hospital Daily Cash+Convalescence Benefit | |||||||
21-125 | 1212 | 2025 | 2025 | 2025 | 3650 | 3650 | |
21-25 | NA | 651 | 800 | 951 | 1250 | 1701 | |
26-35 | NA | 951 | 1201 | 1451 | 1950 | 2700 | |
36-45 | NA | 2270 | 2960 | 3651 | 5030 | 7100 | |
46-50 | NA | 4520 | 5960 | 7400 | 10280 | 14600 | |
51-55 | NA | 8720 | 11560 | 14400 | 20080 | 28600 | |
56-60 | NA | 10340 | 13720 | 17100 | 23861 | 34001 | |
61-125 | NA | NA | NA | NA | NA | NA | |
2Adults*+2Children | |||||||
21-25 | 7215 | 8314 | 9532 | 10125 | 11496 | 12093 | |
26-35 | 9003 | 101184 | 12161 | 12811 | 14030 | 14894 | |
36-45 | 10773 | 11957 | 14164 | 14938 | 16342 | 17403 | |
46-50 | 15751 | 18427 | 20117 | 21241 | 23189 | 24795 | |
51-55 | 20189 | 23806 | 25995 | 27506 | 30039 | 32267 | |
56-60 | 26398 | 31213 | 34019 | 36008 | 39262 | 42253 | |
61-65 | 33983 | 39996 | 43366 | 45793 | 49708 | 53399 | |
66-70 | 51128 | 60160 | 65117 | 68731 | 74494 | 80037 | |
71-75 | 56348 | 66371 | 71834 | 75841 | 82196 | 88367 | |
76-80 | 64056 | 75498 | 81677 | 86239 | 93432 | 100491 | |
81-125 | 96088 | 114098 | 123732 | 130974 | 142208 | 153552 | |
Hospital Daily Cash+Convalescence Benefit | |||||||
21-125 | 1616 | 2700 | 2700 | 2700 | 4867 | 4867 | |
Donor Expense +Critical Illness | |||||||
21-25 | NA | 1301 | 1600 | 1901 | 2501 | 3402 | |
26-35 | NA | 1901 | 2401 | 2901 | 48400 | 5400 | |
36-45 | NA | 4541 | 5920 | 7302 | 10061 | 14201 | |
46-50 | NA | 9041 | 11921 | 14801 | 20561 | 29201 | |
51-55 | NA | 17440 | 23120 | 28800 | 40160 | 57200 | |
56-60 | NA | 20680 | 27440 | 34201 | 47722 | 68001 | |
61-125 | NA | NA | NA | NA | NA | NA | |
2Adults*+3Children | |||||||
21-25 | 9019 | 10393 | 11914 | 12657 | 14370 | 15117 | |
26-35 | 10807 | 12216 | 14543 | 15343 | 16904 | 17917 | |
36-45 | 12497 | 14036 | 16548 | 17470 | 19216 | 20426 | |
46-50 | 17680 | 20651 | 22667 | 23949 | 26264 | 28031 | |
51-55 | 22117 | 26029 | 28545 | 30215 | 33115 | 35502 | |
56-60 | 28327 | 33436 | 36569 | 38717 | 42338 | 45489 | |
61-65 | 35912 | 42219 | 45916 | 48502 | 52783 | 56635 | |
66-70 | 53495 | 62892 | 68250 | 72060 | 78275 | 84017 | |
71-75 | 58716 | 69102 | 74967 | 79170 | 85977 | 92346 | |
76-80 | 66423 | 78228 | 84810 | 89567 | 97213 | 104470 | |
81-125 | 98456 | 116828 | 126865 | 134303 | 145990 | 157531 | |
Hospital Daily Cash+Convalescence Benefit | |||||||
21-125 | 2020 | 3375 | 3375 | 3375 | 6083 | 6083 | |
Donor Expense +Critical Illness | |||||||
21-25 | NA | 1301 | 1600 | 1901 | 2501 | 3402 | |
26-35 | NA | 1901 | 2401 | 2901 | 3900 | 5400 | |
36-45 | NA | 4541 | 5920 | 7302 | 10061 | 14201 | |
46-50 | NA | 9041 | 11921 | 14801 | 20561 | 29201 | |
51-55 | NA | 17440 | 23120 | 28800 | 40160 | 57200 | |
56-60 | NA | 20680 | 27440 | 34201 | 47722 | 68001 | |
61-125 | NA | NA | NA | NA | NA | NA | |
*Both adults belong to same age group | |||||||
Premiums are exclusive of service tax and cess |